| Cost Report Counts | Population | ||
| Total Hospital Count | 1 | Total Population on July 31, 2021 | 15,000 |
| Total Cost Reports Filed in 2021 | 1 | Total Births | 126 |
| Total Cost Reports Submitted | 0 | Total Deaths | 247 |
| Total Cost Reports Settled | 1 | Net Population Natural Change | -121 |
| Total Cost Reports Reopened | 0 | Total International Migration | 0 |
| Total Cost Reports Ammended | 0 | Total Domestic Migration | 114 |
| Total Cost Reports Audited | 0 | Total Residual | 4 |
| Net Population Change | -3 | ||
| Balance Sheet | Income Statement | ||||
| Current Assets | 4,998,977 | Total Charges | 49,674,553 | ||
| Fixed Assets | 4,771,563 | Contract Allowance | 27,740,352 | ||
| Other Assets | 0 | Operating Revenue | 21,934,201 | ||
| Total Assets | 9,770,540 | Operating Expenses | 23,342,161 | ||
| Current Liabilities | 6,771,582 | Operating Margin | -1,407,960 | ||
| Long Term Liabilities | 3,540,390 | Other Income | 1,302,989 | ||
| Total Equity | -541,432 | Other Expense | 0 | ||
| Total Liabilities and Equity | 9,770,540 | Net Profit or Loss | -104,971 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $40,999 | Revenue per Bed | $1,044,486 | Revenue per Person | $1,462 |
| Net Margin per Discharge | ($2,632) | Net Margin per Bed | ($67,046) | Net Margin per Person | ($94) |
| Net Profit per Discharge | ($196) | Net Profit per Bed | ($4,999) | Net Profit per Person | ($7) |
| Net Fixed Assets per Discharge | $8,919 | Net Fixed Assets per Bed | $227,217 | Net Fixed Assets per Bed | $318 |
| Long Term Debt per Discharge | $6,618 | Long Term Debt per Bed | $168,590 | Long Term Debt per Person | $236 |
| Persons per Discharge | 0 | Persons per Bed | 714 | ||
| Occupancy Rate | 20.3 % | ||||
| Length of Stay | 3 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 1,881 | Net Fixed Assets | 2,101 | Population Estimate | 2,090 |
| Total Revenue | 1,923 | Long Term Liabilities | 1,635 | Total Patient Discharges | 1,707 |
| Net Margin | 2,006 | Total Patient Beds | 2,147 | ||
| Net Profit or Loss | 2,954 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,431,743 | 785,753 | 1.8221 |
| 31 | Intensive Care Unit | 1,311,811 | 1,337,337 | 0.9809 |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 0 | 0 | |
| 44 | Skilled Nursing Care | 3,822,962 | 2,421,732 | 1.5786 |
| 50 | Operating Room | 693,994 | 1,717,276 | 0.4041 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 407,046 | 13 | Nursing Administration | 481,420 |
| 02,03 | Captial Related - Movable Equipment | 0 | 14 | Central Services and Supply | 143,472 |
| 04 | Employee Benefits | 1,841,772 | 15 | Pharmacy | 498,085 |
| 05 | Administrative and General | 4,920,524 | 16 | Medical Records and Medical Library | 0 |
| 06 | Maintenance and Repairs | 1,013,955 | 17 | Social Services | 83,679 |
| 07 | Operation of Plant | 0 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 653,685 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 651,779 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 10,695,417 |